Patient's question:
Detailed medical condition and consultation purpose: My leukorrhea is often curd-like. Is this a sign of candidal vaginitis? What medication can be used to treat it? Where can I buy it?Duration and frequency of current illness: Frequently
Current general condition: Recurrent episodes
Doctor's answer:
Hello:Consider candidiasis.
Common medications for candidiasis include nystatin suppositories, one suppository per night (10,000 units), inserted deep into the vagina, with a 10-day course of treatment. Additionally, you can take nystatin tablets orally for one week. After completing a course of treatment, it is necessary to return to the hospital for a follow-up to determine if further medication is needed. While maintaining external genital hygiene, your partner should clean the penis before sexual activity.
Treatment for candidiasis can be approached with either purely Western medicine or a combination of traditional Chinese and Western medicine.
(1) General treatment: Actively treat other diseases that can cause candidiasis and eliminate predisposing factors. Maintain clean and dry external genital hygiene, avoiding scratching. Abstain from sexual activity during treatment. Avoid consuming spicy or irritating foods.
(2) Adjusting vaginal pH: The optimal pH value for Candida growth is 5.5. Therefore, using alkaline solutions to rinse the external genitalia and vagina and adjusting the vaginal pH can inhibit the growth and reproduction of Candida. You can use a 2%–4% baking soda solution to rinse the vagina once or twice daily, with a 2-week course of treatment. After rinsing, dry the external genitalia to maintain dryness and inhibit the growth of Candida.
(3) Vaginal medication: Using imidazole-class suppositories for vaginal medication is highly effective for candidiasis. Clotrimazole suppositories, one per night, are inserted into the vagina after rinsing, with a 10–14-day course of treatment; or Daktarin suppositories, one per night, are applied to the vagina after rinsing, with a 7-day course of treatment.
(4) Topical creams: Use clotrimazole cream or Daktarin